How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $21.88 | Facility | None | $7.94 | $7.94 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $11.48 | Professional | None | $7.94 | $10.00 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $15.85 Typical High $40.74 | Facility | None | $10.23 | $15.85 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $23.44 | Professional | None | $3.72 | $6.17 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $26.30 Typical High $57.54 | Facility | None | $11.75 | $26.30 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $18.20 | Professional | None | $7.41 | $13.49 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $43.65 | Professional | None | $13.18 | $17.78 | $43.65 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $25.12 | Professional | None | $5.25 | $8.71 | $25.12 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $5.01 Typical High $5.75 | Professional | 52 · Reduced service | $3.98 | $5.01 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.00 Typical High $2.29 | Professional | 53 · Discontinued | $1.58 | $2.00 | $2.29 |
Where Georgia sits
The same service costs 4.1 times more in Kansas than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 34th of 51
$10.23
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.